Hirsutism - Differential Diagnosis Algorithm

RAPID ONSET

Medications

 • Steroids

 • Danazol

 • Progestin Containing Contraceptives

Increased Serum Testosterone

 • Ovarian Neoplasm

 • Hypertrichosis

Increased Serum DHEAS

 • Adrenal Neoplasm

SLOW ONSET

Regular Menstrual Cycles

 • Familial

 • Idiopathic

 • Ethnic Background

Irregular Menstrual Cycles

 • Polycystic Ovarian Syndrome

 • Cushing's Syndrome

 • 21-OH Congenital Adrenal Hyperplasia



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